Calderdale & Huddersfield NHS Foundation Trust (CHFT)

Calderdale and Huddersfield NHS Foundation Trust runs the two main hospitals in Huddersfield and Halifax – Huddersfield Royal Infirmary and Calderdale Royal Hospital - and provides outreach services in the local communities.

Updated:
7 January 2016
Location:
Yorkshire and Humber
Sectors:
Health, Care, Hospitals and Hospital Trusts
Local Alliances:
Yorkshire & Humber Dementia Action Alliance, Kirklees Dementia Action Alliance, Calderdale Dementia Action Alliance

1. Action Plan

1.  The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

Calderdale & Huddersfield NHS Trust (CHFT) works with local partners in the delivery of local dementia action plans. We have a Dementia Board with responsibility for delivering the objectives of the hospital strategy, and a collaborative group with responsibility for delivery of the plan.

The Trust’s logo, ‘Your Care, Our Concern’ is at the heart of everything we do and is driven by four key themes, ‘patients’, ‘people’, ‘partnerships’ and ‘pride’. We have excellent structures in place to improve the quality of patient care through patient/public involvement and our membership council.

CHFT has a training strategy to ensure staff are appropriately trained in dementia care. The carers of people with dementia help to deliver training and sit on working groups to ensure our services are shaped to meet the needs of the local community. The care pathway includes the butterfly scheme, person centred care plans, and other supporting documents e.g. pain management and confusion care plan that addresses risk and fundamental elements of care.

The Trust has a network of 100 vulnerable adult champions to promote and monitor best practice in caring for people with dementia, delirium, learning disability and frailty. Principles include dignity; equity; safeguarding; fundamental, person-centred, and end of life care.

The assessment and referral process is closely monitored and is supported by staff with specialist skills including a dementia matron and a mental health liaison team.  The Trust works in partnership with colleagues in the local community to promote integrated care for people with dementia.
CHFT is hosting 2 research projects in regard to dementia care and is developing volunteer roles to provide advocacy and support to people with impaired cognition whilst they are in hospital.

2.  What are the challenges to delivering these outcomes from the perspective of your organisation?

People with dementia are cared for in all adult care services. The number of people with dementia admitted to our hospitals has risen from 1,325 to 2,156 in the last 5 years. Average length of stay is 10.5 days compared to 4 days for patients without dementia. Nationally, people with dementia are more likely than others to be discharged to a care home following hospital stay. Local data reflects this picture.

All staff potentially encounter people with dementia, training helps staff to understand the signs to look for when people become distressed and the approach to use to minimize risk and promote calm. CHFT has more than 6,000 staff members. Training all staff at an appropriate level and monitoring the impact of good dementia care presents a challenge.

Our hospitals require refurbishment and upgrade to meet the standards of a dementia friendly environment.

2. Actions

  • Review and improve the discharge process

    Reviewing and improving the discharge process to include discharge co-ordinators, planning from admission and patient/carer involvement

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Working in partnership with local services

    We are working in partnership with local health, council and voluntary services in transforming community and hospital services to best meet the needs of the local community.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - New DAA member

  • Mandatory training includes dementia awareness

    Dementia awareness is included in mandatory training and induction

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Dementia confident training

    Dementia confident training in clinical areas and included on clinical training register.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Dementia expert training

    Dementia expert training with clinical supervision for 100 champions

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report

  • Monitoring care

    Monitoring care through nursing metrics and care plans

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Positives of Butterfly scheme

    Butterfly scheme encourages involvement and feedback

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Strategic plan for environment

    Strategic plan for environment. PFI providers and Trust signed up to dementia friendly adaptations. Project team includes carers.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Improve response times to care

    Improved provision of intermediate care, rapid response and enablement

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member